Provider Demographics
NPI:1881774016
Name:GETTER, VICKIE L (CERTIFIED PEDORTHIST)
Entity type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:L
Last Name:GETTER
Suffix:
Gender:F
Credentials:CERTIFIED PEDORTHIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ALAFAYA WOODS BLVD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6297
Mailing Address - Country:US
Mailing Address - Phone:407-366-8104
Mailing Address - Fax:407-366-8177
Practice Address - Street 1:15 ALAFAYA WOODS BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6297
Practice Address - Country:US
Practice Address - Phone:407-366-8104
Practice Address - Fax:407-366-8177
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPED 120174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5723170001Medicare NSC